2013-11-14T13:32:57-06:00 2012-12-31 260004395 HALT BUZAS & POWELL LTD 1199 N FAIRFAX ST 10TH FLOOR ALEXANDRIA VA 22314 990 2012-01-01 341985248 DIVINE MERCY CARE DIVI 7039345552 11096-A LEE HIGHWAY NO 101 FAIRFAX VA 220305039 KAREN CASSIDY 7039345552 2013-11-14 1 CAROL MOUNT P00699613 7038361350 2013-11-14 2012 2016-02-24 21:20:13Z JOHN T BRUCHALSKI 11096-A LEE HIGHWAY NO 101 FAIRFAX VA 220305039 5022257 0 X WWW.DIVINEMERCYCARE.ORG X 2004 VA OUR MISSION IS TO CONVEY THE HEALING PRESENCE OF CHRIST THROUGH EXCELLENT MEDICAL CARE WHICH RESPECTS THE CONSCIENCES OF PATIENTS AND PROVIDERS; SERVES THE POOR; AND UPHOLDS THE SANCTITY OF LIFE AT ALL STAGES. WE LOVINGLY CARE FOR ALL PATIENTS, RICH OR POOR, INSURED OR UNINSURED, REGARDLESS OF THEIR FAITH, ETHNICITY, OR NATIONAL ORIGIN. 6 5 53 30 0 0 678649 614007 3762667 4354676 1916 282 -6121 -17910 4437111 4951055 0 0 0 0 2061763 2123126 0 0 146422 2445963 2722862 4507726 4845988 -70615 105067 607432 506172 425000 268596 182432 237576 X OUR MISSION IS TO CONVEY THE HEALING PRESENCE OF CHRIST THROUGH EXCELLENT MEDICAL CARE WHICH RESPECTS THE CONSCIENCES OF PATIENTS AND PROVIDERS; SERVES THE POOR; AND UPHOLDS THE SANCTITY OF LIFE AT ALL STAGES. WE LOVINGLY CARE FOR ALL PATIENTS, RICH OR POOR, INSURED OR UNINSURED, REGARDLESS OF THEIR FAITH, ETHNICITY, OR NATIONAL ORIGIN. 0 0 4562337 4354676 PROVIDING CULTURE OF LIFE CHARITABLE MEDICAL CARE, THROUGH THE TEPEYAC FAMILY CENTER LLC, TO APPROXIMATELY 15,000 WOMEN, INCLUDING INDIGENT WOMEN AND THOSE IN CRISIS PREGNANCIES. 4562337 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 11 0 53 1 0 0 0 0 0 1 1 0 0 X 6 5 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X X THE ORGANIZATION 7039345552 11096-A LEE HIGHWAY NO 101 FAIRFAX VA 220305039 JOHN T BRUCHALSKI MD 40.00 X X 180928 0 13144 ADO MACHIDA 1.00 X X 0 0 0 MARY JULIANNE O'DONNELL 3.00 X X 0 0 0 J PATRICK KEARNS 1.00 X X 0 0 0 JOSEPH G COSBY 1.00 X 0 0 0 EDWARD J GROGAN 1.00 X 0 0 0 KAREN CASSIDY 60.00 X 100000 0 10308 MARIE ANDERSON 40.00 X 215245 0 14241 DANIEL FISK 40.00 X 220245 0 18733 MIRIAM PEREIRA 40.00 X 236267 0 11127 LORNA CVETKOVICH 40.00 X 192417 0 19433 1145102 0 86986 5 0 1 0 0 161726 452281 7250 614007 PROFESSIONAL FEES 621110 4329882 4329882 SPEAKING EVENTS 900099 24794 24794 4354676 151 151 10544 10413 131 131 131 37750 161726 60789 -23039 -23039 OTHER INCOME 900099 5129 5129 5129 4951055 4354676 0 -17628 772844 697863 72775 2206 1140270 1067380 693 72197 12179 11398 781 73446 73446 124387 106360 18027 438 127 311 40327 36154 4173 30150 30150 3843 179 3664 209028 163657 21706 23665 18838 16924 1914 209815 178943 30872 5330 230 5100 23705 4460 19245 8668 8668 27626 26089 1537 194646 194646 PATIENT/INSURANCE/CHARI 1932316 1932316 PATIENT REFUNDS 15155 15155 TAXES 2127 1802 325 CHARITABLE DONATIONS 500 500 350 350 4845988 4562337 137229 146422 162913 236481 93839 70531 121357 50317 51644 20433 138539 111651 56145 26888 9859 5146 107008 94876 4667 1500 607432 506172 223818 173238 23323 177859 95358 425000 268596 X 167392 222536 15040 15040 182432 237576 607432 506172 X 105067 1157 -51080 X 0 0 0 X 571587 797493 741386 480120 452281 3042867 80567 88500 80220 252074 199476 700837 652154 885993 821606 732194 651757 3743704 32000 19000 51000 0 32000 19000 51000 3692704 12489 19655 818 266 151 33379 12489 19655 818 266 151 33379 664643 905648 822424 732460 651908 3777083 0.97770 0.93830 0.00880 0.01360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 138539 111651 26888 26888 ANNUAL GALA 192829 155079 37750 60789 PROLIFE RUN/WALKS 6647 6647 199476 161726 37750 60789 60789 -23039 X X X X 0 0 0 0 0 0 0 0 0 JOHN T BRUCHALSKI MD 180928 0 0 0 0 0 5211 0 7933 0 194072 0 0 0 MARIE ANDERSON 215245 0 0 0 0 0 6308 0 7933 0 229486 0 0 0 DANIEL FISK 220245 0 0 0 0 0 10800 0 7933 0 238978 0 0 0 MIRIAM PEREIRA 236267 0 0 0 0 0 11127 0 0 0 247394 0 0 0 LORNA CVETKOVICH 192417 0 0 0 0 0 11500 0 7933 0 211850 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A [EXPLANATION FOR MEMBERS THAT CAN ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY] FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT TAX ACCOUNTANT. THE 990 IS THEN SUBMITTED TO THE AUDIT REVIEW COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS, FOR REVIEW AND REVISIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MEET QUARTERLY AND DISCUSS ANY CONFLICTS OF INTEREST AT THAT TIME. ADHERENCE TO THE WRITTEN POLICY IS CONFIRMED ANNUALLY BY THE ORGANIZATION'S INDEPENDENT AUDITORS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATION'S CHAIRMAN, EXECUTIVE DIRECTOR, AND KEY EMPLOYEES IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE, WHICH INCLUDES INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. COMPENSATION IS EVALUATED IN LIGHT OF COMPARABILITY DATA FOR NORTHERN VIRGINIA. THE DELIBERATIONS AND DECISIONS OF THE INDEPENDENT COMMITTEE ARE DOCUMENTED IN THE ORGANIZATION'S MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PRIOR PERIOD ADJUSTMENTS -51,080. TEPEYAC FAMILY CENTER LLC 11096-A LEE HIGHWAY FAIRFAX VA 22030 201963116 OB/GYN SERVICES VA 4335010 232883 DMC PHARMACY LLC 11096-A LEE HIGHWAY FAIRFAX VA 22030 261906293 PHARMACEUTICAL SERVICES VA 1 0